RT Journal
A1 Foxe AN
T1 RIchter's hernia
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1929
FD March 9
VO 92
IS 10
SP 829
OP 829
DO 10.1001/jama.1929.02700360067031
UL http://dx.doi.org/10.1001/jama.1929.02700360067031
AB To the Editor:
—In reading The Journal of January 26, page 342, I was particularly interested in the description by Dr. Robert L. Rhodes of the sensation of fulness or massing on palpation in a case of Richter's hernia. In none of his cases was a mass palpable.Recently, I observed a patient with symptoms of intestinal obstruction. There was a vague sensation of fulness in the left inguinal region, but no mass was demonstrable by the ordinary methods of palpation. However, a mass was distinctly palpable by the use of the following method: The examiner stood on the patient's left (the side of the mass) and pressed the dorsum of the right hand gradually but firmly on the abdominal wall, parallel to and about two inches above Poupart's ligament. When the rectus had yielded, a firm but gradual cupping movement of the ulnar side of the hand toward the